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Medicaid Processing

Jeremy Dodds
Supervisor of Data Analysis Services
jdodds@cnyric.org
315-433-2217
Lori DeForest
Supervisor of Data Analysis Services
ldeforest@cnyric.org
315-433-2247
 
The New York State Departments of Education and Health jointly established the School Supportive Health Services Program (SSHSP) to help districts obtain Medicaid reimbursements for the diagnostic and health support services that they provide to eligible students who have an Individual Education Program (IEP). Reimbursable services include physical and occupational therapy, speech pathology, psychological counseling, skilled nursing services, basic and comprehensive psychological evaluations, medical evaluations, medical specialist evaluations, audiological evaluations, and transportation. Qualified professionals (providers), either under contract with or employed by the district, must provide the services. Because districts struggle to fund educational programs with limited resources, Medicaid reimbursements for services provided to eligible special education students are important potential 
revenue sources.  The Central New York Regional Information Center provides central Medicaid claims processing services to the State of New York.

cnyricMED Client Claiming 
Comprehensive, web accessible system offered at no cost to New York State school districts and service providers, as well as 4201 schools and counties within New York State to submit claims for Medicaid eligible services to the New York State Office of the Medicaid Inspector General (OMIG), and New York State Education Department (SED). 
♦ Creates reimbursement claims and enables electronic submission of data 
♦ Comprehensive claim tracking and reporting system 
♦ Medicaid Web Reports allow retrieval of Medicaid reports and files via the web

 

Medicaid Direct® Integrated Medicaid Billing
Medicaid Direct automates the Medicaid tracking and billing process in order to maximize revenue recovery, improve accuracy of data, and accelerate collections.  This service can be purchased by IEPDirect subscribers or separately to nonsubscribers to IEPDirect.  
♦ No time-consuming or error-filled double entry 
♦ Medicaid Direct imports data student management systems, reducing time spent and errors introduced. 
♦ Dynamic claiming calendar - select a student, days, type of service, quantity, and then simply click again for the total.

 

Medicaid User Group Meetings -- 2015
Please go to MyLearningPlan.com to register to attend an upcoming User Group meeting. 

 

CNYRIC
Phone: 315.433.8300
Visit: 6075 E. Molloy Rd. | Syracuse, NY 13211
Mail: P.O. Box 4754 | Syracuse, NY 13221
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